Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Robert Eugene Vandiver II, PA

Individual provider Physician Assistant · NPI 1417090770

Mr. Robert Eugene Vandiver II, PA is a Physician Assistant in Wilburton, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

139 E Main St
Wilburton, OK 74578-4229
Phone: (918) 465-5727
Fax: (918) 465-3311
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 527 (OK)

Record details

NPI number1417090770
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 15, 2007
Last updated in NPPESNovember 12, 2007